Dalton, John Shaw

Dalton, John Shaw is an sole proprietor health care provider with primary practice located at 2W Rolling Crossroads Suite 205, Catonsville MD 21228-6209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Dalton, John Shaw can be contacted via phone (410) 788-8033.

Contact Information

Primary practice address
2W Rolling Crossroads Suite 205 Catonsville MD 21228-6209
Fax: (410) 788-8034
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X D0030542 Maryland

Profile Details

NPI number 1225013493
LBN Legal business name Dalton, John Shaw
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 10th, 2005
Last updated Jun 27th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225013493 NPPES
Maryland MEDICAID 336311200

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